EP2646992B1 - Système et procédé de surveillance de santé non intrusive à la maison - Google Patents
Système et procédé de surveillance de santé non intrusive à la maison Download PDFInfo
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- EP2646992B1 EP2646992B1 EP11844942.0A EP11844942A EP2646992B1 EP 2646992 B1 EP2646992 B1 EP 2646992B1 EP 11844942 A EP11844942 A EP 11844942A EP 2646992 B1 EP2646992 B1 EP 2646992B1
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Definitions
- wearable devices for use either in a hospital or in a home environment and capable of wirelessly reporting and/or alarming various physiological parameters to a central monitoring location have been previously described in the art, for example as may be found in U.S. Patent Nos. 7,382,247 , 7,315,736 , 7,261,691 , or 6,731,962 .
- These health monitoring solutions typically require some type of specialized sensing apparatus in the form of a wearable bracelet, etc., together with a separate purpose-specific unit to receive and relay the wireless reporting signals.
- Controlling devices for example remote controls, for use in issuing commands to entertainment and other appliances, and the features and functionality provided by such controlling devices are well known in the art and have become a ubiquitous part of the modern home for use in conjunction with various appliances such as cable set top boxes, satellite receivers, etc.
- Such controlling devices may be universal, that is, capable of controlling multiple appliance types of different manufacture, unified, that is, capable of controlling multiple appliance types of the same manufacture, or dedicated, that is, capable only of controlling a single appliance of a specific manufacture. Descriptions of such controlling devices may be found, for example, in U.S. Patent Nos. 4,959,810 , 5,455,570 , 7,046,185 , or 7,154,428 .
- US 5,776,056 discloses a health self-checking system using a remote controller and television.
- an exemplary hand-held device such as a remote control provided for operation of the consumer appliance may be equipped with various biometric sensors to capture and report on the health condition of the user of the hand-held device.
- the data captured by such a hand-held device may be evaluated locally in the hand-held device itself or may be conveyed to a target consumer appliance either for local evaluation by that consumer appliance or for onward transmission to a central off-site monitoring service.
- the captured information may be directly conveyed to an off-site monitoring service. If one or more of the measured health parameters falls outside the normal range, various actions may be taken either by the local hand-held device/consumer appliance or by the off-site monitoring service. Such actions may range in scope from presenting a warning signal/message through raising a local alarm to automatic dispatch of emergency personnel.
- a device according to the invention is defined in claim 1.
- a method according to the invention is defined in claim 15.
- a controlling device 100 is configured to control various controllable appliances, such as, for example, a television 102 and a set top box (“STB") 104.
- the controlling device 100 may be capable of transmitting commands to the appliances in response to user activation of various command function keys using any convenient IR, RF, Point-to-Point, or networked protocol, to cause the appliances to perform operational functions.
- controllable appliances may include, but need not be limited to, televisions, VCRs, DVRs, DVD players, cable or satellite converter set-top boxes ("STBs"), amplifiers, CD players, game consoles, home lighting, drapery, fans, HVAC systems, thermostats, personal computers, etc.
- controlling device 100 may also include means for use in configuring the operation of controlling device 100, e.g., changing operational modes, selecting active key sets, etc.
- controlling device 100 may further include means for monitoring certain biomedical parameters representative of the health status of a user of the controlling device 100, and in the embodiment illustrated, reporting such data to an exemplary STB 104 or like consumer appliance for onward transmission to a monitoring center service 110 (e.g., having a server, data repository, and appropriate programming/instructions) via a cable system headend 106 (e.g., having a server, data repository, and appropriate programming/instructions) and an Internet, PSTN, or other connection 108.
- a monitoring center service 110 e.g., having a server, data repository, and appropriate programming/instructions
- a cable system headend 106 e.g., having a server, data repository, and appropriate programming/instructions
- Internet PSTN, or other connection 108.
- the raw data collected by controlling device 100 may be simply forwarded directly to monitoring service center 110 for evaluation and recording, while in other embodiments the data may be subjected to an initial evaluation locally within the controlling device itself or within STB 104 in order to ascertain the presence and if present, the severity of any out-of-range, health related data values.
- the initial evaluation may then determine an action to be taken, ranging, for example, from repeating a test, through displaying a warning message on or by TV 102, to reporting an emergency situation to monitoring center 110.
- all collected data may however still be reported to monitoring service center 110 on a lower priority or periodic basis regardless, for patient history recording purposes.
- a tiered response system may also possible, for example, evaluation of captured health related data values may be performed at an intermediate site such as cable system headend 106.
- a controlling device equipped with for example WiFi or Bluetooth capability may report collected health related data directly to a monitoring service center 110 or to another local device such as a for example a PC for onward transmission to the monitoring service center 110.
- the controlling device 100 may include, as needed for a particular application, a processor 200 coupled to a ROM memory 206, a RAM memory 208, a non-volatile read/write memory 204, a key matrix 220 (e.g., hard keys, soft keys such as a touch sensitive surface overlaid on a liquid crystal (LCD), and/or an electroluminescent (EL) display), transmission circuit(s) and/or transceiver circuit(s) 202 (e.g., IR and/or RF), a means 218 to provide feedback to the user (e.g., one or more LEDs, LCD, speaker, and/or the like), an input/output port 216 such as a serial interface, USB port, modem, Zigbee, WiFi , or Bluetooth transceiver, etc., a power source 222, and clock and timer logic 210 with associated crystal or resonator 212.
- a processor 200 coupled to a ROM memory 206, a RAM memory 208, a
- Controlling device 100 may further include means 214 to detect that device 100 has been picked up and/or is being held by a user, for example a capacitance sensor, tilt switch, accelerometer, etc., and, in accordance with the subject system, various biometric sensors 224a, 224b, 224c capable of measuring, for example, one or more of pulse rate, skin temperature, skin moisture, blood glucose, hemoglobin oxygenation, etc., without limitation.
- the memories 204, 206, 208 may include executable instructions (collectively, the controlling device program memory) that are intended to be executed by the processor 200 to control the operation of the device 100, as well as data which serves to define to the operational software the necessary control protocols and command values for use in transmitting command signals to controllable appliances (collectively, the command data).
- the processor 200 may be programmed to control the various electronic components within the controlling device 100, e.g., to monitor the key matrix 220, to cause the transmission of signals, to enable power to and retrieve data from biometric sensors 224a/b/c, etc.
- the non-volatile read/write memory 204 may additionally be provided to store setup information, data, and parameters as necessary. While the memory 206 is illustrated and described as a ROM memory, memory 206 can also be comprised of any type of readable media, such as ROM, FLASH, EEPROM, or the like. Preferably, the memories 204 and 208 are non-volatile or battery-backed such that data is not required to be reloaded after battery changes. In addition, the memories 204, 206 and 208 may take the form of a chip, a hard disk, a magnetic disk, an optical disk, and/or the like.
- some or all of the illustrated memory devices may be physically combined (for example, a single FLASH memory may be logically partitioned into different portions to support the functionality of memories 204 and 206 respectively), and/or may be physically incorporated within the same IC chip as the microprocessor 200 (a so called "microcontroller") and, as such, they are shown separately in Fig. 2 only for the sake of clarity.
- the controlling device 100 is adapted to be responsive to events, such as a sensed user interaction with the key matrix 220, etc.
- appropriate instructions within the program memory may be executed. For example, when a function key is actuated on the controlling device 100, the controlling device 100 may retrieve from the command data stored in memory 204, 206, 208 a command value and control protocol corresponding to the actuated function key and, where necessary, the current device mode and transmit a command to an intended target appliance, e.g., TV 102, in a format recognizable by that appliance to thereby control one or more functional operations of that appliance.
- the operating program can be used not only to cause the transmission of commands and/or data to the appliances, but also to perform local operations.
- local operations that may be performed by the controlling device 100 may include displaying information/data, favorite channel setup, macro key setup, function key relocation, etc. Examples of local operations can be found in U.S. Patent Nos. 5,481,256 , 5,959,751 , and 6,014,092 .
- local operations may include the activation, and monitoring of various biometric sensors, coupled with analysis and/or reporting of the data values obtained thereby.
- controlling device 100 may be universal, i.e., provided with a preprogrammed and/or downloaded library of appliance command data sets corresponding to appliances of different make, and/or model, and/or type thereby enabling a user to configure controlling device 100 to issue commands in a format recognizable by his particular appliances. Since such techniques and the methods by which a user may identify each intended target appliance to controlling device 100 are well known in the art, these will not be discussed further herein. Nevertheless, for additional information pertaining to setup procedures, the reader may turn, for example, to U.S. Patent Nos. 4,959,810 , 5,614,906 , or 6,225,938 or to US 8,098,140 or US 2010-0157171 A1 ( US 8,558,676 ).
- biometric sensors 224a, 224b and 224c may be positioned on the outer case or housing of controlling device 100, arranged such that they may come into contact with the hand 300 of a user when controlling device 100 is grasped in the usual manner of operation. It will be appreciated that although the placement of sensors 224a and 224b of the illustrative embodiment of Figure 3 and 4 is optimum for a right-handed user, in other embodiments left-handed users may be equally accommodated, for example by duplicating sensors on both sides of the controlling device, by locating a single set of sensors centrally on the underside of the controlling device 100, by providing separate left- and right-handed version of the controlling device 100, etc.
- the housing of controlling device 100 may comprise an element arranged so as to encompass the desired body part when the controlling device is in the grasp of a user.
- the underside of the illustrative controlling device 100 of Figure 4 may comprise a cantilevered element 402 positioned such that during normal operation a user's finger(s) may be positioned between two constituent parts of biometric sensor 224c.
- a cantilevered element may be fixed, flexible, hinged at the base and/or spring loaded, etc. as appropriate.
- the housing of a controlling device may a recess, opening, socket, or other suitable element into which a user's finger may be inserted to thereby position the user's finger between two constituent parts of a biometric sensor.
- An exemplary controlling device 100 may utilize biometric sensors such as 224a, 224b, 224c in support of a health monitoring service as will now be described in conjunction with the flowchart of Figures 5 .
- a biometric data capture routine within the controlling device 100 operating program may be activated by one or more of a user picking up the controlling device, i.e., in response to an input from handling detection means 214; by user activation of an element of key matrix 220 either in the normal course of commanding the operation a controlled appliance or via a key 304 provided specifically for that purpose; by expiry of a timer; by receipt of a communication from a health monitoring application installed in or communicating through a target appliance, e.g., STB 104; etc., all as appropriate for a particular embodiment.
- a target appliance e.g., STB 104
- the controlling device operating program may first ascertain the elapsed time since the previous measurement cycle. If this time is less than a specified minimum interval (which interval may be predetermined, user adjustable, communicated from a target appliance such as STB 104, etc.) then no measurement is currently due and the controlling device operating program may exit the biometric data capture routine at step 530. In this manner, the battery life of controlling device 100 may be conserved and the reporting path 104, 106, 108 not overloaded with data.
- a specified minimum interval which interval may be predetermined, user adjustable, communicated from a target appliance such as STB 104, etc.
- test of step 502 may however be omitted, for example, where the activation is in response to a request communicated from a target appliance on behalf of a health monitoring application which is itself responsible for determining the measurement interval or in response to a user input provided to the controlling device 100 that indicates an affirmative desire to capture such data.
- the controlling device 100 operating program may enable exemplary biometric sensors 224a, 224b, and 224c and then at steps 508/506 may wait a suitable period of time for the sensors to stabilize and produce valid readings.
- this data is captured and transmitted to a consumer appliance that is specified to receive the biometric monitoring data, e.g., STB 104.
- the biometric monitoring data e.g., STB 104.
- such captured data would be transmitted to the consumer appliance via selection and use of an appropriate protocol by the controlling device 100.
- the data capture cycle may be abandoned and at steps 514, 516 an error may be signaled to the user, e.g., via user feedback means 218, and an error message transmitted to the receiving appliance.
- the controlling device 100 operating program may disable exemplary biometric sensors 224a, 224b, and 224c and thereafter wait for a response from the receiving appliance. If no response is received within the allotted time interval, at step 520 an error is signaled to the user, e.g., via user feedback means 218 and processing continues at step 528 as will be further described hereafter.
- the controlling device operating program may determine if the response comprises a request for a repeat measurement.
- a request may be issued for example by a receiving appliance such as STB 104 in response to a "invalid reading" error message (step 516) from controlling device 100, in conjunction with display by STB 104 of a message on the screen of TV 102 requesting that the user reposition his grasp of controlling device 100.
- a request for an immediate repeat reading may be issued by a monitoring algorithm resident in STB 104, cable system headend 106, or monitoring service center 110 following receipt of biometric data indicative of a possibly critical condition of the user of controlling device 100.
- the controlling device 100 operating program may resume the biometric measurement sequence at step 504 as illustrated. If no repeat is requested, at step 528 the controlling device 100 operating program may reset the minimum interval time to be used in a future step 502, after which processing is complete. It will be appreciated that the minimum interval time used in step 528 may comprise a predetermined fixed value, may be user adjustable, may be determined by the receiving appliance and embedded in the response of step 524, etc.
- Figure 6 presents an exemplary method for implementing a health monitoring system and service utilizing the output of a biometric sensor equipped controlling device 100.
- the individual steps of the method may be performed at any of various physical locations or tiers of the system as convenient for a particular implementation.
- some or all of the steps of the method may be performed at any of cable STB 104, cable headend 106, central monitoring site 110, etc., as appropriate for the specific implementation selected by the provider of the service. Accordingly, in the description that follows any mention of a particular location for performance of a step is intended to be exemplary and not limiting.
- the method may initially determine if the transmitted message comprises an "invalid reading" status. If so, at step 604 it may next be determined if this report has reached a limit established for repeated attempts to correct ongoing measurement failures. If not, at step 606 a corrective message may be conveyed to a user of the controlling device 100, for example a prompt displayed on or by TV 102 requesting that a user adjust their grasp of controlling device 100, followed at step 608 by a request to the controlling device 100 to repeat the measurement attempt. If, however, the limit for such actions has been reached without success, then at step 610 an alert and notification of measurement failure may issued to an operator located at a centralized monitoring service center, e.g. 110 of Figure 1 .
- a centralized monitoring service center e.g. 110 of Figure 1 .
- a received message from a biometric sensor equipped device is determined to comprise valid data
- the message comprises a signal that an emergency alert ("panic button"), e.g. key 404 of exemplary controlling device 100, has been activated by a user. If so, at step 630 an alarm may immediately be raised at monitoring service center 110. If not, at step 614 the received data may next be logged at monitoring service center 110 for patient history recording purposes.
- the received biometric data values fall within a normal range.
- the system and methods described herein may readily be adapted to support health monitoring services for multiple individuals at the same location, for example by the provision of multiple addressable sensor-equipped controlling devices, by use of one or more of the biometric measurements as a means to distinguish between users, etc. Accordingly, in certain embodiments this normal range of values may be individually established for each particular user of a biometric sensor equipped device. In such embodiments multiple users of a single device or single reporting channel may be identified via the use of biometric measurements, individualized devices, explicit user input to identify each individual user, etc. In this regard see for example U.S. Patent Nos. 6,906,696 , 7,236,156 or 7,266,701 .
- the measurement repetition interval is set to its standard value (which interval may be determined on an individual user basis and/or may be dependent on the specific type(s) of biometric values being monitored) and an acknowledgement response issued to the controlling device 100.
- the acknowledgement response may incorporate a parameter to indicate this interval.
- the desired interval may be timed elsewhere, e.g. at STB 104, cable head end 106 or monitoring service center 110 and explicit request(s) issued to the monitoring controlling device 100 as appropriate.
- precautionary range(s) may be established for various biometric parameters and may trigger enhanced monitoring services, for example conveying a warning message to the user and/or a monitoring center operator together with an increased frequency of measurement, as illustrated at steps 622 and 624. Once again, such ranges may be individually established for each user of the service.
- a critical condition may exist.
- an out of range value may trigger an immediate request to the biometric measuring device to repeat the measurement as illustrated at step 628.
- a major alarm may be raised at the monitoring service center as illustrated at steps 626 and 630. It will however be appreciated that in other embodiments a critically out of range measurement may trigger an immediate alarm at a monitoring center, leaving the decision to repeat the measurement in the hands of the monitoring service operator.
- a wearable device such as a bracelet 700 may comprise biometric sensors and associated circuitry and programming similar to that described above in connection with the biometric monitor portions of exemplary controlling device 100.
- Bracelet 700 may be offered in conjunction with a health monitoring service such as described above in connection with Figure 6 , either in place of or as a supplement to a biometric sensor enabled controlling device.
- biometric sensors may comprise part of a wrist strap or safety retaining tether provided in conjunction with a controlling device, such as for example a Nintendo brand Wii controller.
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Claims (15)
- Système permettant d'assurer un service de surveillance de santé, comprenant :un appareil de consommation commandable ;un dispositif de poche (100) comportant un émetteur (202), une interface utilisateur (220, 304) pouvant être activée pour amener l'émetteur à transmettre des ordres pour commander des opérations fonctionnelles de l'appareil de consommation commandable, au moins un capteur biométrique (224) opérationnel avec une routine de capture de données biométriques permettant de capturer des données biométriques d'un utilisateur et de transmettre via l'émetteur à l'appareil de consommation commandable des données indicatives des données biométriques capturées, et un moyen de détection de manipulation (214) pour détecter quand le dispositif de poche (100) a été pris ou est tenu par l'utilisateur ; etun centre de service de surveillance de santé centralisé(110) en communication avec l'appareil de consommation commandable permettant de recevoir de l'appareil de consommation des données indicatives des données biométriques capturées ;dans lequel le dispositif de poche est configuré pour permettre sélectivement la capture de données biométriques par le au moins un capteur biométrique et pour évaluer les données biométriques capturées pour déterminer un état de santé de l'utilisateur, dans lequel le moyen de détection de manipulation est configuré pour activer la routine de capture de données biométriques par le moyen de détection de manipulation (214) détectant quand le dispositif de poche (100) a été pris ou est tenu par l'utilisateur et quand une quantité prédéterminée de temps s'est écoulée depuis une capture précédente de données biométriques.
- Système selon la revendication 1, dans lequel l'appareil de consommation commandable comprend une boîte numérique (104).
- Système selon la revendication 2, dans lequel la boîte numérique (104) est en communication avec le système de surveillance de santé centralisé (110) via un réseau de câble ou un réseau à satellite.
- Système selon la revendication 2, dans lequel la boîte numérique (104) est en outre en communication avec un dispositif de télévision.
- Système selon la revendication 4, dans lequel la boîte numérique (104) est configurée pour émettre une transmission afin d'amener le dispositif de télévision (102) à présenter un avertissement selon lequel des données biométriques capturées dépassent une ou plusieurs valeurs seuils.
- Système selon la revendication 5, dans lequel le système de surveillance de santé centralisé est configuré pour donner une instruction à la boîte numérique (104) d'émettre la transmission afin d'amener le dispositif de télévision (102) à présenter l'avertissement.
- Système selon la revendication 5, dans lequel le dispositif de poche (100) est configuré pour donner l'instruction à la boîte numérique (104) d'émettre la transmission afin d'amener le dispositif de télévision (102) à présenter l'avertissement.
- Système selon la revendication 1, dans lequel le dispositif de poche (100) comporte un récepteur (202) et l'appareil de consommation commandable est configuré pour émettre une transmission au dispositif de poche via le récepteur pour activer sélectivement le au moins un capteur biométrique (224).
- Système selon la revendication 8, dans lequel le centre de service de surveillance de santé centralisé (110) est configuré pour donner l'instruction à l'appareil de consommation commandable d'émettre la transmission au dispositif de poche (100) afin d'activer sélectivement le au moins un capteur biométrique (224).
- Système selon la revendication 1, dans lequel le dispositif de poche (100) comporte un dispositif de minutage (210) et le système est configuré pour utiliser un temps mesuré par le dispositif de minutage afin d'activer sélectivement le au moins un capteur biométrique (224).
- Système selon la revendication 10, dans lequel le dispositif de poche (100) comporte un récepteur et l'appareil de consommation commandable est configuré pour émettre une transmission au dispositif de poche via le récepteur (202) pour établir le temps mesuré par le dispositif de minutage (210).
- Système selon la revendication 11, dans lequel le centre de service de surveillance de santé centralisé est configuré pour donner l'instruction à l'appareil de consommation commandable d'émettre la transmission au dispositif de poche afin d'établir le temps mesuré par le dispositif de minutage.
- Système selon la revendication 1, dans lequel le système est configuré pour utiliser sélectivement le au moins un capteur biométrique (224) afin de répéter une capture de données biométriques en réponse à des données biométriques précédemment capturées dépassant une ou plusieurs valeurs seuils ou aux données biométriques précédemment capturées déterminées comme étant non valides.
- Système selon la revendication 1, dans lequel l'interface utilisateur (220, 304) comprend en outre un bouton de panique (404) pouvant être activé pour provoquer la transmission d'une alerte d'urgence à l'appareil de consommation commandable pour réception par le centre de service de surveillance de santé centralisé (110).
- Procédé permettant d'assurer un service de surveillance de santé, comprenant :la capture de données biométriques via au moins un capteur biométrique (224) d'un dispositif de poche (100) comportant un émetteur (202), dans lequel l'émetteur est utilisé pour transmettre des ordres pour commander des opérations fonctionnelles d'un appareil de consommation commandable en communication avec un centre de service de surveillance de santé centralisé (110) et pour transmettre à l'appareil de consommation commandable des données indicatives des données biométriques capturées ;dans lequel le dispositif de poche (100) comporte un moyen de détection de manipulation (214) pour détecter quand le dispositif de poche (100) a été pris ou est tenu par un utilisateur et le procédé comprend en outre le fait de permettre sélectivement la capture de données biométriques par le au moins un capteur biométrique (224) en réponse à une entrée provenant du moyen de détection de manipulation (214) et quand une quantité prédéterminée de temps s'est écoulée depuis une capture précédente de données biométriques ; etl'évaluation par au moins l'un du dispositif de poche, de l'appareil de consommation commandable et du centre de service de surveillance de santé centralisé des données biométriques capturées afin de déterminer un état de santé de l'utilisateur.
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PCT/US2011/062191 WO2012074899A2 (fr) | 2010-11-30 | 2011-11-28 | Système et procédé de surveillance de santé non intrusive à la maison |
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EP2646992A2 EP2646992A2 (fr) | 2013-10-09 |
EP2646992A4 EP2646992A4 (fr) | 2013-10-09 |
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2014
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US10357202B2 (en) | 2019-07-23 |
EP2646992A2 (fr) | 2013-10-09 |
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US11931184B2 (en) | 2024-03-19 |
EP2646992A4 (fr) | 2013-10-09 |
WO2012074899A2 (fr) | 2012-06-07 |
WO2012074899A3 (fr) | 2012-07-26 |
US20120136217A1 (en) | 2012-05-31 |
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